ArticleFrontiers in pediatrics2026
Comparison of bedside abdominal ultrasonography and abdominal radiography in predicting surgical intervention in neonatal necrotising enterocolitis.
Article in Frontiers in pediatrics, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
Objective: To compare bedside ultrasonography (US) and abdominal radiography (AXR) within the same cohort for their ability to discriminate the need for surgical intervention in neonatal necrotising enterocolitis (NEC), and to evaluate the value of combining the two modalities. Methods: A total of 509 neonates admitted to our neonatal intensive care unit from January 2015 to December 2023 were included; all had a clinical diagnosis of NEC and underwent abdominal radiography (a supine cot-side view in all infants, with an additional erect view obtained in the radiology department only when the infant was stable enough to be transported) and bedside US within 24 h. They were divided into a surgical group ( Results: The surgical group had a lower gestational age [33.0(30.0, 36.0) week] and birth weight [1,730(1,235, 2,205) g] than the conservative group (35.0[32.0, 36.0] week; 2,200[1,727.5, 2,732.5] g; both Conclusion: For neonates with a clinical diagnosis of NEC, bedside US was superior to AXR in the overall discrimination of the need for surgical intervention. AXR portal venous gas and pneumoperitoneum were complementary to the US findings of complex peritoneal effusion and peritoneal effusion; although adding AXR to US did not raise the AUC over US alone, it still added value in reclassifying borderline cases. US and AXR may serve as complementary modalities in the routine imaging work-up of NEC.
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